NPI 1700863024

Kim Janet Wilson, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Lewiston, ID

Practice location

Address: 415 6th St, Lewiston, ID 83501-2431
Phone: (208) 746-0516
Fax: (208) 746-4989
Mailing address: 3464 Elks Dr, Lewiston, ID 83501-8630

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence M-6746 (ID)

Other Pathology providers in Idaho →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence MD00032548 (WA)

Registry record

NPI: 1700863024
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2005
Record last updated: 5 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.